Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARLICE CECIL RUTTAN II, LCSW
ActiveMR. CARLICE CECIL RUTTAN II, LCSW is a Clinical Social Worker healthcare provider located in WATERTOWN, New York. NPI 1740540129 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WATERTOWN, NY
Registration Details
- NPI Number
- 1740540129
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2012 (14.206739944854 yrs)
- Last Updated
- May 21, 2012
- License
-
079048-1 (NY)
Practice Information
- Address
-
165 COLEMAN AVEWATERTOWN, NY, 136012217Browse NY providers · Browse ZIP 13601
- Phone
- 3157822061
- Fax
- 3157881529
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WATERTOWN, NY
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN E HANNAN | LMSW,ACSW,CASAC | 1659378834 |
| MS. BONNIE JEAN RILEY | LCSW | 1811972540 |
| MR. DONALD W MOTT | LCSW-R | 1215990015 |
| MRS. ERIN MARIE COONEY | LCSW - R | 1033294848 |
| HEIDI ABBEY | LCSW-R | 1306924675 |
| KRISTIN ALICE TOOLEY | LCSW-R | 1871671933 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.